| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
456 |
445 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
589 |
578 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
296 |
289 |
$11K |
| 92015 |
Determination of refractive state |
885 |
828 |
$10K |
| 92341 |
|
96 |
93 |
$2K |
| V2020 |
Frames, purchases |
126 |
125 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
49 |
45 |
$454.00 |